Kankakee County Humane Foundation Application to adopt dog/cat

Please fill in all blanks. All Applicants will be subject to a background check. Incomplete applications may be subject to immediate denial. Approval process requires 3-5 business days. Approval email or follow up questions will be coming from k3humanefoundation@gmail.com. Please be sure to check your spam folder.

I want to Adopt a

Dog

Cat

Other

Animal Interested in Adopting

I am 21 years of age or old.

Yes

Today's Date

YYYY

Primary Adopter

First Name

Last Name

Other Adult in Household

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Prefer email, call or text?

Call

Text

Household Information

Occupation

Annual Household income

(per year)

Do you live in a

house

apartment

mobile home

condo

Do you have a fenced in yard?

Yes

If yes, How tall is your fence?

Do you

Own

Rent

Live with parents/others

How long have you lived at your current residence?

in years

If you rent does your landlord allow pets?

Yes

If you rent, Name and Phone number of landlord

Do you have children/grandchildren who will live in the household or will be around the pets?

Yes

If yes, list the ages of each child

Your Experience with Pets

How many pets have you owned as an adult?

Have you ever given up a pet?

Yes

If yes, Why did you give up the pet?

What happened to the pet you have up?

Pet History

Have you previously adopted from the Kankakee County Humane Foundation?

Yes

If yes, what year? Did you adopt a dog or cat?

Have you ever adopted from any other animal shelter? If yes, name and location.

Please list the animals you currently own or have owned in the last 5 years.

Include Dog/Cat name, sex, spayed/neutered, kept inside or outside of home, current on vaccinations, on heartworm prevention, deceased?

Veterinarian Information

Veterinarian Clinic Name, address, telephone #

Will you agree to have this animal spayed/neutered, if not done already?

Yes

Are you a Military Member

Yes

Non Related Reference #1

First Name

Last Name

Non Related Reference #1 Phone

(###)

###

####

Non Related Reference #2

First Name

Last Name

Non Related Reference #2 Phone

(###)

###

####

PLEASE READ THE PARAGRAPH BELOW CAREFULLY!

All animals adopted from KCHF are to be kept as companion animals or “inside” pets. If at any time KCHF finds that an adopted animal is being kept outdoors for an inappropriate amount of time or mistreated, KCHF has the right to take possession of the animal. I also agree that the animal(s) I adopt must be returned to KCHF if the placement is not successful. The adopter will forfeit the adoption fee when animal is returned or if KCHF takes possession of the animal. If a pet requires spaying/neutering or any other medical attention, the pet will remain at the shelter until all medical attention is complete, even if the application is approved. All the above statements I have made are true and correct and I have read and understand all adoption procedures and policies. WE RESERVE THE RIGHT TO REFUSE ANY APPLICATION FOR ANY REASON

Applicant's Electronic Signature

First Name

Last Name

Thank you for your interest in adopting from KCHF. Approval Process requires 3-5 business days. We will be in contact if you are approved.

Please be sure to check your spam folder. Your approval email or follow up questions will be coming from k3humanfoundation@gmail.com .

Thank you for your patience.
KCHF Staff